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Pennsylvania rates for HCPCS A4314

Insertion Tray With Drainage Bag With Indwelling Catheter Foley Type Two-Way Latex With Coating (Teflon Silicone Silicone Elastomer Or Hydrophilic Etc.) (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.44 / $29.79 / $3,117.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.67 / $20.55 / $32.22
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.53 / $33.53 / $33.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.22 / $21.22 / $41.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.04 / $18.04 / $27.42
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.35 / $34.08 / $64.75
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.43 / $146.61 / $224.27
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.10 / $58.58 / $3,117.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.67 / $20.55 / $35.29
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.10 / $43.70 / $66.09
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.22 / $21.22 / $41.39
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.04 / $18.04 / $40.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.27 / $31.91 / $31.91
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.27 / $31.91 / $33.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.55 / $17.14 / $29.30